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Individual

MS. JO ELLEN CAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1602 N MECHANIC ST, EL CAMPO, TX 77437-2640
(979) 543-2956
(979) 543-6756
Mailing address
2100 REGIONAL MEDICAL DR, WHARTON, TX 77488-9719
(979) 532-1700
(979) 532-4584

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00942
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080143714
RAILROAD GBA - RAILROAD MEDICARE
TX
05
308557302
TX
01
875N26
BC/BS #
TX
01
P01090429
RAILROAD MEDICARE PTAN
TX
Enumeration date
04/26/2006
Last updated
01/21/2013
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